15D2228234 CLIA NUMBER - COMMUNITY HEALTH CLINIC, THE

Laboratory Demographics

  • CLIA Code: 15D2228234
  • Facility Name: COMMUNITY HEALTH CLINIC, THE
  • Facility Address: 730 E NORTH STREET
    SHIPSHEWANA, IN
    ZIP 46565
  • Facility Phone: 260 593-0108
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ZINEB A. AMMOUS
  • NPI Number: 1114241494
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2228234
LAB Type Rural Health Clinic
Facility Name COMMUNITY HEALTH CLINIC, THE
Street 730 E NORTH STREET
City SHIPSHEWANA
State IN
ZIP 46565
Phone 260 593-0108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/23/2025
Certificate Expiration Date 6/22/2027
Facility Type Rural Health Clinic
Lab Director ZINEB A. AMMOUS

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This page was last updated on: 9/29/2025